Effects of Dynamic Neuromuscular Stabilization Exercises with a Telerehabilitation Approach on Weight Changes and Flexibility in Obese Elderly Women

Abstract

Objective: The present study aimed to investigate the effects of dynamic neuromuscular stabilization exercises with a telerehabilitation approach on weight changes and flexibility in obese elderly women.

Methods: This research was a quasi-experimental study with a pretest-posttest control group design. The statistical population consisted of overweight and obese elderly women living in Mashhad, aged 60 to 75 years. The research sample included 30 individuals with a body mass index greater than 25 kg/m², selected through convenience sampling and, after screening, randomly assigned to an experimental group (n=15) and a control group (n=15). The experimental group received an eight-week dynamic neuromuscular stabilization exercise protocol (three sessions per week) with initial in-person instruction followed by telerehabilitation follow-up. Weight, body mass index, and upper and lower body flexibility were measured at both pretest and posttest stages. Analysis of covariance, controlling for pretest scores, was used to analyze the data, with a significance level set at 0.05.

Results: The results of the ANCOVA showed significant differences between the experimental and control groups for weight and body mass index (P=0.001). Additionally, significant differences were observed between the two groups for upper body flexibility of the right and left limbs (P=0.001) and lower body flexibility of the right and left limbs (P=0.001).

Conclusion: Six weeks of dynamic neuromuscular stabilization exercises with a telerehabilitation approach may lead to reduced weight and body mass index, as well as improved upper and lower body flexibility, in overweight and obese elderly women. Given the limited sample size, lack of long-term follow-up, and incomplete control over dietary intake and activities outside the program, clinical generalization of the results should be made with caution.